HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit:N umber: .
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Building Permit Application
Planning and DevelopmentServi'ces
Building and.Code Regulation Division Commercial ResitIerltlaj X
2300 Virginia:Avenue,,Forr,Pierce FL 34982
Phone:(772)462-1553: Fax:(772)462-1S78
PERMIT APPLICATION FOR:Single Family Home
PROPOSED IMPROVEiAENT LOCATION:
Address: 18900 Schumann Rd fort Pierce, FL 34945
Property Tax 1D#: 2203-122-0001-000-1. Lot No.
Site Plan Name: Site Plan 18900 Schumann Rd' Block No.
Project Name:-'Charles Residence
DETAILEDDESCRIPTION OF WORK
Neww 2700sf single family residence.:CBS construction with metal roofing system.:
New Electrical Meter Second Electrical Meter X
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank _,Gas Piping _Shutters X Windows/Doors _Pond.
X. Electric X Plumbing _Sprinklers Generator.' Roof 5/12 Pitch
Total Sq.Ft of Construction: 5193 Sq.Ft.of First Floor: 5193
Cost of Construction:$ 35Q;00.0 Utilities:; _Sewer .X Septic Building Height: 24`3"
OWN ER/LESSEE: CONTRACTOR:
Name Grover and Sarah Charles i Name:Jared Modine,
Company.Cole Construction Services, LLG
Address:471 Woodcrest Dr
City. Ft Pierce,F'L State: i Address.
497 S.Brocksmith Rd
Zip Code: 34945 Fax, City: Ft Pierce, FL state:.
Phone No.772-201-1939 Zip Code: 34945 Fax:
E-Mail:midnightcattle@aol.com Phone No 772-519-0558
cbledbnstrUttibh@hc)tmaii.com
in.fee simple Title Holder an next page if different E-Mail coleeons_. �
from:the Owner listed above) State or County License 29778 f
If value of construction is 2500 or more,-a RECORDED Notice of Commencement is required.
If value of.HAVC'is$7,500 or more,a RECORDED Notice of Commencement is required.
SUF'PLEMENTAL`CONSTR(1CTION LIEN`LAW INFORMATION:
DESIGNER/ENGINEER: ,Not Applicable 'MO'RTGAGE COMPANY: x Not Applicable
FL Design;Build Inspect
ame: Name: _ I
AddreSS:fiank.Cebler@gamil:ccrri; Address:
City:.. State: City::. State: -
Z1p: Phone772-3z -4560 t Zip;': Phone:
L FEE SIMPLE TITLE HOLDER: X!Not Applicable BONDING COMPANY X Not Applicable '
Name: ' Name:.
Address: Address k
City:. City:
Zip: Phone: Zi,p
Rhone:
OWNER/CONTRACTOR AFFIDVIT:Application is,hereby made to obtain a,pe'rmit to do the work and installation as indicated.
l certify that no work or installation has commenced prior to the issuance of`a permit.
St.Lucie Count makes no representation that is granting a permit Will authorize the permit holder to-build the subject structure
Which is incon conflict with any applicable Home Owners Association rules,bylaws brand covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions-which may apply.
In consideration of the granting of this requested permit,1 do hereby agree that I quill,in all respects,.perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amendments:
The following building permit applications are exempt from undergoing a:full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen roornsand accessory uses to another non-residential use
WARNING TO OWNER:Your failure-to Record:a Notice of Commencement may result in paying twice for
Miprovements to your property. A Notice of Commencement must be:recorded in the public'records of St...
Lucie County and posted on the jobsite before the.first inspection, if you inteno to obtain financing, consult
with lender.or°an attorney before commencing work or recordijIg your NoticEffif Commencement.
ignature of Owner[Lessee/Contractor as Agent for Owner Signature f C ntractor/License.Holder j
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STATE OF FLORIDA STATE O ORIDA
1 COUNTY OF. L&g-, COUNTY OF ST L4 t4.6-
F Surg+'n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
y' Physical Presgnce or Online Notarization ;;_a/PhysicaLPrese ce or Online Notarization
this I day ofJ y u�t 2024 by , this_I( day of �n Al 2020 by
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le
Name of person making statement. i Name of person.maki7stement.
Person ly Known � OR Produced Identification i' Bersonally KF�1'
OR Produced Identification
Type o dentificatio Type.of Idion
Produc` i Produced
1.
(Signat re of Public-St i i nat re o taryPublic-State of`Florida)
city PubraC State Of Flotr r
Comm' Sion No'. jse3hes Ashley.Taylor lfl om sslon No �q`r* acatary Public State F ida
. James Ashley Ta r I
• . aly CuEsis$ian HH 05126t a My C.cmnrisiiosl HH057
Expire$loIQ71202A
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COUNTER REVIEW REVIEW REVIEW REVIEW l REVIEW I REVIEW
DATE
RECEIVED
DATE ;
I.COMPLETED j
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